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HomeMy WebLinkAbout0048073-Building 1'0 (4111D• CITY OF OSHKOSH N- " 48073 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING 9-1 FLOOD PLAIN D HEIGHT i 9 ADDRESS \ 34 ` - PLAN NOT )'OIO -7 /` VY OWNER --k. C-0\"\S\ • DESIGNER USE /NATURE OF WORK \-) J\ BUILDING CONTRACTOR SL Sq. Ft. t0I �l`tt� w.< # Stories Sizes - -� q. ` N � #Rooms (� � b� I Height y Foundation P O`'r sz. Class of Const. t Occupancy Permit icctv; I� HEATING CONTRACTOR U Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR C `''\(`"wx_s< Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR S Q' _ BT _ WH _ Disp _ WSoft — CBasin _Lay _ Sh _ DW — DF _San. Sewer - WC _ FDr _SP _Ur _Storm Sewer - Sink — LTub — Eject _SS _Water Other FEES: Valuation $ 4 �Ob 0 Permit Fee Paid 1 ! 2 • cV Park Dedication $ �° •� ISSUED BY Date /1 - Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 1 / GENT /OWNER D / J ADDRESS TELEPHONE # ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 3 � � -\\ ‘Q_ \,, ZONING 4z1 PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: � New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) COMPLIANCE CHECKLIST DEFICIENT COMMENTS Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off - Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan REVIEW AUTHORITY As per Section 30 -5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. Y APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: "2-e/ DATE: / Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Labor and Human Relations PERMIT APPLICATION y5073 Safety and Buildings Division P.O. Box 7969 (See instructions on back of pink copy) Parcel No. Madison, WI 53707 The information you provide may be used by other government ency Wisconsin Statite 1 101.73 pro rams [Privacy Law, s. 15.04 (1) (m)1. PERMIT :R QU STE :':; ::! ( coonstr El HVAC ❑ Elec ❑ PI bg Erosion ❑ Other: Owl 's Name Mailing Address � Telephone No. ?L A Ce�L - 07 766 !,l i AattiefCi , n ( ag i -szu Co ractor's Name. ❑ Con � ec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. ( ) Conk cto s Nam . ❑ Con ❑ Elec �-IVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. ] CoryJ,ra is Na : ❑ V ❑ Elec ❑ HVAC IfKlbg Lic/Cert # Mailing Address Telephone No. a/rt4 (. ) Contractor's Name: ❑ Con ❑ Elec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. tii.a [LOCAT O [ z > Lot Area ' a 1/4, 1/4, Section ,T N, R E (or) W dres Building S vision Name Lot No. Block No. 3 1 4 _4 // :.: / c�.e.�D -� 3 I Zoning District s 1 Z nin Permit N. g o g e t o Front Rear Left Right Setbacks 025 ' ft. I so' ft. - 76/1 ft. 1 ie „ ft �R I� .��::i::([G ''':i:: :: ;:; ; '`y. i::ii i;: ti ":i:.:• :jg '. :. '�p.�M( ::i::i::ii : :: :::: :: ::::: µ��pay��( ": : :: .: :ii:: ii:: i }::iiiiii:::!:ii i::iii::iii::i: .: ...: ....... ....:.:..:........... .. .... ............ . .. . .....: .. � � .. � .... �."�F�....�::. .. . .�.A1K ��.W� �.��.;.•.IMR]�1N�' .I�1.•:i:::: i i:::::::::. ew ❑ Repair Ingle Family Entrance Panel Forced Air Furnace Nat L. P Oil Elec. Solid Solar ❑ Alteration ❑ Raze ❑ Two Family Size: 1 OO amp ❑ Radiant Baseboard or Panel Fuel Gas * ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump . ❑ Other (print): Underground ❑ Boiler Space Htg ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other :,.'::: :•'. • ' • .' ❑ Other * ❑ Dwelling unit '' %" '`' more installed electric space heating equip. ite Constructed IL-Concrete `f�:: F!�z �.�HI��>�> ' : ` > > ? »'''r< >? Infiltration control option is: Full sealing >:: ❑ Man ❑ M asonr :::. : .:::::.:::.::::::::::::::::.::. P ❑ 9 Y ``'`' "" ' `' ❑ T rea t e d W oo d of joints_ ❑ Blower door test. ❑ "Exterior Se r air infiltration barrier unici al h P Unfinished Basement Sq. ft. .. .... . ..... ❑ e : si: cii:: ii ::::: ;:: i:> i .:::::.. : .::. ; •.: ; .:-. i .:. ; �:. isi ..:..:: ::.::::::.:._.�:::::..::::::::. Se tic ::> ifie al'1 #'h:$ .:: ? ( `::': ::::: �Stor p •t err ............... Y fi :; is °Y> : >> : »» Permit No. Living Area 1° 9 S ft. El 2 -Story ❑ S sonal _ Envelope V a b I ,6S BTU /HR Garage i 46 S . ft. ❑ Other ermanent ?' `> . A�E<s :» ><i »>i : ::: Infiltration • 0 11 . $ BTU /HR ::................... .............................:. g q Municipal Utility ,w !j� ❑Other . .... ... ...... IUN .... . ❑ Plus Basement ❑ Private On -Site Well $ SO Dd a The applicant agrees to comply with all applicable codes, stat es a . ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or impli t - Depa men r municipality; and certifies that all the above informati n is curate. APPLICANT'S SIGNATURE k...— DATE SIGNED 1 / ! f PPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may resu in suspension or ' revocation of this permit or other penalty. rn l a+i rr4 -.. i., .. cos ;01.6 e.,,,. b., j t to k,1 S 44, col I , x444 OY, • Tow Village it County t State of: Municipality ❑ ❑ ❑ Number of Dwelling Location: 9 � Y Y ❑ 9 . RlSDI 'IO I : 0.6VIV - 2 6 6 » » . ::: S: <:: iN : .. :: :::: : ::; ><:> i I � : :::: ? < ; : :.: ::» : >: > > •< < > > > » > > » >: > > »> >» : . . » a:::;: i <:::: : »::: >:«: >:<:::::: .11�..I�Nlr�E3ltlNl.� l� .. .. ..:; >::i::iiii >;::;;: iii::.;:.; i.;;<. is :.i;:.i:.::.i:.:::.i:;<. ..�.. E ice'... I'!EIRT.I� ,. i:i:i : S : ; : ; i ' i ii :i :i:i> < :: . . > ': ::::::iS: i ?c :i ;: i:'is::: :: :: 2i : :;::; ;::;<;: ;;:. :i > ii ;:.;:;:.: >;:.; ;;:. »;ii i: iix•i:•;i:•i::::: :. ii;:;:;:: i:::::::-:>.::: i:;: i::: f:: i:: i:::;:: :::::Y:2;;::::;:::::;::::i>::>: : : > <::: iii: i:::<>: i:>;::;:<: i::::: i:: i:::;;<::::::<>::: ii::::: i::: <>:::> »:::::: >:::: >:::<::::: >i <: 5��............ ..................................................... .... :..:..:.::::::. . :.: .::::... :.: .... .:. . .:.:;. . ii:. i:::.iiii: ;:..:.::.::;;.;: . >::i:::::i::i:::i::ii:::i:«:«: Plan Review $ onstruction Q • '' -- Wis. emit Seal $ 3 0 v. ❑Electrical Name f1r f, Other $ ❑ Plumbing Date i l' � Total $ .. •C) 0 rosion '7 ^� y IC . Cert. No. S�� 58D -5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent Yeg N o O U 4 8 e � N 'O 1So f . $ Y9 ll ►' II 8 0 Ll l 4 ^, Z pre: c N p 0 p (n 'g °sg� J C.) p .ev$_ ai 8 Z e ° b p i to 8 6 4.G w b '6 1 I N • \ I INr-) hn r L) ,SZ 0 i h hr--) s )( ( hz - .E--- DS }. ,1/i 4 I CO cn hr ' W Nn GATE 1,1 0(1 1' NAME i `\ S v`--) ADDRESS LOT 39 8 LCCK ,,. BARD SUBOIv. 1 ( (17(q...Q_An ZONE 3181 STREET NO. '��11 � ��� o(P_P- 0)43 LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE G- ,19 9S 9 Y F EE; $15.00 1.1-to DEPARTMENT OF Puo L y •rRKS I, the undersigned, owner or agent of the above described property agree ro have The grace established before excavation has commenced. 097331. � �o City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address :;;)P`- ,q-e.0 Owner's Name V.s..)sv\., Name of Subdivision \AL p G I QQ,,-- Lot # 3 Bldg. Permit # 1- W)() -- ) r. No. of Units i Fee Required ( 0 Gov Fee Paid iCl1 Owner's signature ��� Date Inspector's signature o1,4e4 Date //--3 -4z; Parks Subdivision Improvement Accts. Rec.: 362 -041 ..,,, n6v-,.... 6 2„cr„',A. ...,)(4z_ 2. Ik. .....,r. . '\e"^ 4, 1 0 \-f \rte• -v oZ \(fi1.. �-Q\ _ tO Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Labor and Human Relations PERMIT APPLICATION Safety and Buildings Division P.O. Box 7969 (See instructions on back of white ply) Parcel No. Madison, WI 53707 The information you provide may be used by other government agency 111/1 {44ns n Q� . 63 1. - 41 7 ..! programs (Privacy Law, s. 15.04 (1) (m)I. . ,: - . QUES . <':' © Constr ❑ HVAC 1:1 Elec ❑ Plbg El Erosion ❑ Other: :` : :* * Owner's Name Mailing Address Telephone No. Rusch Homes 2760 Westmoor Rd. Oshkosh WI. ( 414 231 - 8203 Contractor's Name: ® Con ❑ Elec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. Same . ( ) Contractor's Name: ❑ Con Q Elec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. Cummings Electric 1414 Cty Tk JJ Neenah 54957 ( )231 - 5946 Contractor's Name: ❑ Con Q Elec [HVAC 0 Plbg Lic /Cert # Mailing Address Telephone No. Brewer Heating N8084 N Douglas Ripon 54971 ( )748 - 6494 Contractor's Name: ❑ Con ❑ Elec ❑ HVAC QpIbg Lic/Cert # Mailing Address 54915 Telephone No Schroeder & Hanson 550 N Bluemound Dr Appleton ( )710 - 0905 y ... * . : . Lot Area 1 /4 cti n T N R E or W : .:.r':::::. # . :: .:. # : , :: ,, : >ii:ii Sq ft 1/4, , Se o ( ) Building Addrels, . Subdixision Lot No. Block No. 3/6/ L Zoning District(s) Zoning Permit No. Front Rear Left Right Setbacks c J ' ft. S O , ft. $ ft. ft. ... . . ......... ................. .:�.:: - �. EC' 1` �± L:;.;;:.;:. �.;; N1t�C .E..:�t?'tiAEN' ' <:;<::: >: N l�( ��';: St���. CE»::>: >: > < »:: »:::::;: >:<: » >:: >;:< ' ��... .C' I'.: t.::: h.:::,:?:::::.;:.;>:;. .::.;:.. . ? .:�..:_OCCE]Ep:��[C�f::.. .:..L.. . ....::.:.:. �:...-.....:.. :: ::::::...: : 'E�...� >w.. ... ... ..... Jew ❑Repair ®;Single Family Entrance Panel N: Forced Air Furnace Fuel Nat. L. P Oil Elec. Solid Solar ❑Alteration ❑Raze ❑Two Family Size: ZOO amp ❑Radiant Baseboard or Panel Gas ❑Addition ❑Move ❑Garage Service: ❑ Heat Pump - X. Space Htg $ ID El El El ❑ Other (print): gUnderground ❑ Boiler ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ Other ❑ Other " * 0 Dwelling unit will have 3 kilowatt or A *` * '' ' .. more installed electric space heating equip kj Site Constructed [Concrete Infiltration control option is Full sealing Manufactured ❑ M ❑ Y ri> <.::..;.:;.:.:.::;.< ><s» Q Treated Wood Sewer of joints. ❑Blower door test. ❑Exterior Munici al air infiltration barrier. 1� P S . . Other Unfinished Basement / S . ft- : <;»>::>::>::> ::::..::::::: :::::::::.:::::...:::... .... . .. .:::::::. ` ;<:.....,.. ...:....:«: »:: >:: »:::: >:««: »::» ❑septic > :: >:::<'�'��: HST€ �� �'�����tE�.>...: }: :..::. al- Story II.:x':ti:» ::::: Permit No. Living Area 'ZI O Envelope BTU /HR Sq. ft. ❑ 2 -Story ❑ Seasonal •: 11 4•.`•:: ....:.:.:.:...:: : :::<: z:::: : : :: : :::< }:: : ; : >: ::: : : : >: >:;:: Infiltration BTU /HR e� Other ermanent ::. .:..., ; ".. »" :.`..:' ::::..: .: :..::::::: ::::::::::.::.:::.::::::.:::.:. Garage (Q Sq. ft. Q DR Municipal Utility Y :�� >E'�7�1T"'SLIILOI >. :` ;:.:: � �`:�`• »� >3 ❑ Plus Basement ❑ Private On -Site Well $ ln OQ b - l I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certify that all the above information is accurate. If I am an owner . applying for an erosion control or construction permit, I have read the cautionary statement regarding contractor financial responsibility on the reverse side of the pink ply. APPLICANT'S SIGNATURE 7;1 Plideliti DATE SIGNED 3/4/06 APPROVAL CONDITIONS This permit is issued pursuant to the following conditions- Failure to comply may result in suspension or revocation of this permit or other penalty. • s.`sx' = ::2;e` '' Town Village City ���##AA##� „ „ �.: ❑ ❑ g ❑ y 9 County ❑State of: Municipality Number of Dwelling Location: I N : -- - -- �� UNI k . M!. P3 }::; ? :; ; :i:::S :: U::D : : ., ' ' ?' t ' £;ESE j }j ': ?: :' {r :2: 2 :: ? ::: > :: :, . i � + I } ` + C �� ::: C � 1 � !� is: i: :7 '!!' Ci�:� ?: : ?:�:::� �`: . GK14: 1�1(J ::: :::: :::: < ::: ,;::•`::::;�;::: <;:'i: :: :: :': ::::: :;`: %;:;:;::::: ::::: ::::; �:;>: :::::::::: � :::::::::::: :>:: :::::;: :::;'i:: :i: ::: :i:::;:::::2E ::. :.::.::. ::..: :: �7 Plan Review S ❑ Construction Inspection S ❑ HVAC Name Wis. Permit Seal $ ❑ Electrical Other S ❑ Plumbing Date - • • L f e • E • } .q 1 r • ff . ' . k : i k • _,... 1 - _..... L F . , k • z4+ f3 l - n 1 . IT a. . V _ r 2.4. ;t -O 4 t YO t .. E . • N Y _ .. .. -.. c y b W • Sir . r •